<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Wanlshop_auth_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-wanlshop_auth_id" min="0" data-rule="required" data-source="wanlshop/auth/index" class="form-control selectpage" name="row[wanlshop_auth_id]" type="text" value="{$row.wanlshop_auth_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Verify')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-verify" class="form-control selectpicker" name="row[verify]">
                {foreach name="verifyList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.verify"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Refuse')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-refuse" class="form-control" name="row[refuse]" type="text" value="{$row.refuse|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Activityadd')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-activityadd" class="form-control" name="row[activityadd]" type="text" value="{$row.activityadd|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('People')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-people" class="form-control" name="row[people]" type="text" value="{$row.people|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Payers')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-payers" class="form-control" name="row[payers]" type="text" value="{$row.payers|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Rate')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-rate" class="form-control" name="row[rate]" type="text" value="{$row.rate|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Black')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-black" class="form-control" name="row[black]" type="text" value="{$row.black|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Activityremark')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-activityremark" class="form-control" name="row[activityremark]" type="text" value="{$row.activityremark|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Examinetime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-examinetime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[examinetime]" type="text" value="{:$row.examinetime?datetime($row.examinetime):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Examineid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-examineid" class="form-control" name="row[examineid]" type="number" value="{$row.examineid|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Examineageing')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-examineageing" class="form-control" name="row[examineageing]" type="text" value="{$row.examineageing|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
